Healthcare Provider Details

I. General information

NPI: 1205589090
Provider Name (Legal Business Name): SACRED FAITH HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2022
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 SOUTHWIND DR
EL PASO TX
79912-3235
US

IV. Provider business mailing address

6501 SOUTHWIND DR
EL PASO TX
79912-3235
US

V. Phone/Fax

Practice location:
  • Phone: 915-284-8884
  • Fax: 915-284-8887
Mailing address:
  • Phone: 915-284-8884
  • Fax: 915-284-8887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MS. MARGARITA HILDA PEREZ
Title or Position: ADMINISTRATOR
Credential:
Phone: 915-284-8884